CLINICAL DESCRIPTION
Kawasaki disease usually occurs in infants and children under 5 years of age, and consists of a characteristic exanthem, enanthem, fever unresponsive to antibiotics, lymphadenopathy, and polyarteritis of varying severity. The exact cause of the disease is unknown, however, it is widely believed that an infectious agent plays a role in immune- cell activation of acute disease.

CASE CLASSIFICATION

1. CONFIRMED
A febrile illness of greater than or equal to five days' duration, with at least four of the
following physical findings and reasonable exclusion of other diseases (toxic
shock, scalded skin syndrome, scarlet fever, rickettsial diseases, or drug reactions):


• Bilateral conjuctival injection
  
• Oral changes (erythema of lips or oropharynx, strawberry tongue, or fissuring of the lips),
  
• Peripheral extremity changes (edema, erythema of palms and soles, or generalized or periungual desquamation),
  
• Cervical lymphadenopathy,
  
• Rash
  
  
2. PROBABLE
   
   Not Used
   
   
3. POSSIBLE
   
   Initially reported on the basis of clinical diagnosis until confirmation is obtained; no possible case classifications are retained.

What you should know about Kawasaki Disease?